Lung metastasis at initial presentation in a 3 year old girl with stage IV Wilms tumor

Background: Wilms tumor (nephroblastoma) is a malignant pediatric tumor that arises from mesodermal embryological precursors of renal parenchyma. Lung metastasis as the first presentation of nephroblastoma occurs in 20% of cases. However, haematogenous spread to the lungs or to regional lymphnodes...

Full description

Bibliographic Details
Main Authors: Usoro UU, Akinola RA, Ekpe EE, Fasan-Odunsi A
Format: Article
Language:English
Published: Nigerian Medical Association, Akwa Ibom State Branch 2023-09-01
Series:Ibom Medical Journal
Subjects:
Online Access:https://ibommedicaljournal.org/index.php/imjhome/article/view/340
_version_ 1797271918759378944
author Usoro UU
Akinola RA
Ekpe EE
Fasan-Odunsi A
author_facet Usoro UU
Akinola RA
Ekpe EE
Fasan-Odunsi A
author_sort Usoro UU
collection DOAJ
description Background: Wilms tumor (nephroblastoma) is a malignant pediatric tumor that arises from mesodermal embryological precursors of renal parenchyma. Lung metastasis as the first presentation of nephroblastoma occurs in 20% of cases. However, haematogenous spread to the lungs or to regional lymphnodes from a previously diagnosed nephroblastoma occurs in of 85% of cases. Case report: A 3-year old girl presented at children emergency unit with cough and weight loss. Examination revealed an emaciated child, with a huge, right sided abdominal mass. Abdominal ultrasound scan showed a heterogenous, spherical mass with irregular anechoic areas and echogenic solid areas in kidney. Chest radiograph revealed bilateral cannon ball opacities. A diagnosis of nephroblastoma with lung metastasis was made. She underwent combined therapy but relapsed one year later.
first_indexed 2024-03-07T14:16:08Z
format Article
id doaj.art-026c25a23c2f4dc587a6f9a673e0e5ee
institution Directory Open Access Journal
issn 1597-7188
2735-9964
language English
last_indexed 2024-03-07T14:16:08Z
publishDate 2023-09-01
publisher Nigerian Medical Association, Akwa Ibom State Branch
record_format Article
series Ibom Medical Journal
spelling doaj.art-026c25a23c2f4dc587a6f9a673e0e5ee2024-03-06T11:55:17ZengNigerian Medical Association, Akwa Ibom State BranchIbom Medical Journal1597-71882735-99642023-09-0116310.61386/imj.v16i3.340Lung metastasis at initial presentation in a 3 year old girl with stage IV Wilms tumorUsoro UU0Akinola RA1Ekpe EE2Fasan-Odunsi A3Department of Radiology, University of Uyo Teaching Hospital, Uyo, NigeriaDepartment of Radiology, Lagos State University, Lagos, NigeriaCardiothoracic Surgery Unit, Department of Surgery, University of Uyo, Uyo, NigeriaDepartment of Radiology, Lagos State University, Lagos, Nigeria Background: Wilms tumor (nephroblastoma) is a malignant pediatric tumor that arises from mesodermal embryological precursors of renal parenchyma. Lung metastasis as the first presentation of nephroblastoma occurs in 20% of cases. However, haematogenous spread to the lungs or to regional lymphnodes from a previously diagnosed nephroblastoma occurs in of 85% of cases. Case report: A 3-year old girl presented at children emergency unit with cough and weight loss. Examination revealed an emaciated child, with a huge, right sided abdominal mass. Abdominal ultrasound scan showed a heterogenous, spherical mass with irregular anechoic areas and echogenic solid areas in kidney. Chest radiograph revealed bilateral cannon ball opacities. A diagnosis of nephroblastoma with lung metastasis was made. She underwent combined therapy but relapsed one year later. https://ibommedicaljournal.org/index.php/imjhome/article/view/340Wilm’s tumournephrobastomalung metastasisstage IV
spellingShingle Usoro UU
Akinola RA
Ekpe EE
Fasan-Odunsi A
Lung metastasis at initial presentation in a 3 year old girl with stage IV Wilms tumor
Ibom Medical Journal
Wilm’s tumour
nephrobastoma
lung metastasis
stage IV
title Lung metastasis at initial presentation in a 3 year old girl with stage IV Wilms tumor
title_full Lung metastasis at initial presentation in a 3 year old girl with stage IV Wilms tumor
title_fullStr Lung metastasis at initial presentation in a 3 year old girl with stage IV Wilms tumor
title_full_unstemmed Lung metastasis at initial presentation in a 3 year old girl with stage IV Wilms tumor
title_short Lung metastasis at initial presentation in a 3 year old girl with stage IV Wilms tumor
title_sort lung metastasis at initial presentation in a 3 year old girl with stage iv wilms tumor
topic Wilm’s tumour
nephrobastoma
lung metastasis
stage IV
url https://ibommedicaljournal.org/index.php/imjhome/article/view/340
work_keys_str_mv AT usorouu lungmetastasisatinitialpresentationina3yearoldgirlwithstageivwilmstumor
AT akinolara lungmetastasisatinitialpresentationina3yearoldgirlwithstageivwilmstumor
AT ekpeee lungmetastasisatinitialpresentationina3yearoldgirlwithstageivwilmstumor
AT fasanodunsia lungmetastasisatinitialpresentationina3yearoldgirlwithstageivwilmstumor